Evidence map›Paper›PMID 37169386›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Degenerative spinal conditions requiring emergency surgery: an evolving crisis in a publicly funded health care system.

Charlotte Dandurand, Mathew N Hindi, Pedram Farimani Laghaei, Mohammad Sadegh Mashayekhi, Brian K Kwon, Nicolas Dea, Charles G Fisher, Raphaële Charest-Morin, Tamir Ailon, Michael Boyd and 3 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Charlotte DandurandCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC charlotte.dandurand@vch.ca.
Mathew N HindiCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Pedram Farimani LaghaeiCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Mohammad Sadegh MashayekhiCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Brian K KwonCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Nicolas DeaCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Charles G FisherCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Raphaële Charest-MorinCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Tamir AilonCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Michael BoydCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Marcel DvorakCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
Scott PaquetteCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
John StreetCombined Neurosurgical and Orthopedic Spine Program, University of British Columbia, Vancouver, BC.
University of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery for degenerative spine pathologies is typically performed on a scheduled basis; however, worsening symptoms may warrant emergency surgery. An increasing number of patients requiring emergency surgery has been observed (22.6% in 2006 to 34.8% in 2019). We sought to compare the outcomes of patients who received scheduled surgery and those who required emergency surgery.

methodsAll patients treated between Jan. 1, 2006, and Dec. 31, 2019, were included. Retrospective comparisons were made between patients who were scheduled (elective) for surgery and those requiring emergency surgery, patients who were scheduled for surgery and those who decompensated while on the surgical waitlist and patients who presented as de novo emergencies and those who decompensated while on the surgical waitlist.

resultsAmong the 6217 patients with degenerative pathologies, 4654 (74.9%) patients were scheduled (elective) for surgery and 1563 (25.1%) were patients requiring emergency surgery. Compared with patients who were scheduled, patients requiring emergency surgery had a longer length of stay (LOS) in hospital (5.1 d, interquartile range [IQR] 2.7-11.2 v. 3.6 d, IQR 1.3-6.4,

conclusionWe observed worse perioperative outcomes for patients requiring emergency surgery for degenerative spinal conditions than for patients who were scheduled for surgery. Patients who decompensated while on the surgical waitlist had the worst outcomes.

Indexed as

EmergenciesSpinal DiseasesDelivery of Health CareElective Surgical ProceduresHumansLength of StayPostoperative ComplicationsRetrospective Studies

Identifiers

PMID37169386
PMCPMC10185351
OpenAlexW4376224400

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.